Preparing for completely smoke-free mental health settings: findings on patient smoking, resources spent facilitating smoking breaks, and the role of smoking in reported incidents from a large mental health trust in England
Sohal, Harpreet; Huddlestone, Lisa; Ratschen, Elena
Lisa Huddlestone email@example.com
Introduction: Despite high smoking prevalence and excessive smoking-related morbidity and mortality among people with mental disorder compared to the general population, smoking treatment is often neglected in mental health settings. The UK National Institute of Health and Clinical Excellence (NICE) recently issued public health guidance stipulating completely smoke-free mental health settings. This project evaluated existing smoking-related practices in preparation for guidance implementation. The objectives were to: audit the recording of smoking-related information and treatment provision; explore current arrangements relating to the facilitation of patient smoking; measure staff time spent and identify costs of facilitating smoking; and explore the role of smoking in smoking-related incidents.
Methods: A mixed-methods study was conducted across four acute adult mental health wards, accommodating 16 patients each, over six months. It included a case-note audit, on-site observations, and a qualitative content analysis of incident reports.
Results: Smoking status was recorded for less than half of the 290 patients admitted (138, 48%). Of those, 98 (71%) were recorded as current smokers, of whom 72 (74%) had received brief smoking cessation advice. Staff spent 6028 h facilitating smoking, representing an annual cost of £131,040 across four wards. Incident reports demonstrated that smoking facilitation was often central to the cause of incidences, triggered frustration in patients, and strained staff resources.
Conclusion: The findings highlight the importance and potential of implementing completely smoke-free policies using comprehensive pathways.
|Journal Article Type||Article|
|Publication Date||Feb 25, 2016|
|Journal||International Journal of Environmental Research and Public Health|
|Peer Reviewed||Peer Reviewed|
|APA6 Citation||Sohal, H., Huddlestone, L., & Ratschen, E. (2016). Preparing for completely smoke-free mental health settings: findings on patient smoking, resources spent facilitating smoking breaks, and the role of smoking in reported incidents from a large mental health trust in England. International Journal of Environmental Research and Public Health, 13(3), https://doi.org/10.3390/ijerph13030256|
|Keywords||Smoking; Mental health; Mental disorder; Tobacco dependence; Psychiatric settings; NICE PH48; Smoking cessation; Nicotine dependence; Smoke-free policy|
|Related Public URLs||http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808919/|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0|
Sohal 2016 Int J Environ Res Public Health.pdf
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0